Comparison between ability and performance: a study on the functionality of dependent elderly individuals

Abstract

OBJECTIVE: to compare the ability and performance of Basic Activities of Daily Living of dependent elderly individuals cared for in a geriatric healthcare center. METHOD: cross-sectional, observational study with quantitative approach. The Functional Independence Measure (FIM) was applied in 109 elderly individuals cared for in a geriatric healthcare center. Of these, 60 individuals were classified as dependent in the case of basic activities of daily living described according to the International Classification of Functionality, Disability and Health (ICF). The process of triangulation reinforced reliability of data, which included information provided by patients and caregivers and that contained in medical files and objective assessment. RESULTS: the average age was 81.0±7.1 with a predominance of women. The difference between ability and performance was statistically significant (p<0.05) in most daily tasks. CONCLUSION: the contribution of this study in using ICF was semi-quantitatively interpreting its qualifiers, which enabled more objective comparisons and inferences, and revealed a clear distance between the performance and ability of these individuals in most of the assessed activities.

Falls Frequency In Elderly Assisted In The Family Health Strategy

“…The extrinsic are more related to unsafe environmental risks, poorly designed and built, with architectural barriers, presence of stairs, lack of differentiation steps and handrails, poor lighting, loose rugs, slippery floors, obstacles such as electrical cords, clutter, poorly maintained floor in circulation location [21].…”

“…It is evident, according to gender that women suffer a higher risk of falls than men. The table shows that factor, being statistically significant (p=0.001) between males and females [20,21].…”

How Nurses are Using the International Classifi cation of Functioning, Disability and Health: An Integrative Review

“…Evidence showed there are attempts to apply the ICF in clinical nursing practice in fourteen selected articles (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26). In most articles (n=9), ICF application in clinical practice is defined in the Rehabilitation Nursing area (13,(15)(16)(17)(18)(19)(20)(21)26), directed primarily to nursing interventions (n=4) with patients in acute and post-acute situations requiring rehabilitation (13,17) and patients with spinal cord injury (16,21,26).…”

Comparação entre capacidade aferida e desempenho referido para avaliação de atividades básicas em idosos

“…Estudos prévios que compararam métodos de mensuração avaliaram o desempenho aferido de pacientes e contrapuseram os dados com a funcionalidade referida para diferentes atividades 35,38,39,94 .…”

“…Embora foco de muita discussão na década de 1990 [99][100][101] , atualmente poucos estudos abordam similaridades e divergências entre avaliação funcional de maneira aferida ou referida e ainda são observados estudos que utilizam de maneira equivocada ostermos 35,36,94,[102][103][104] . Estudos anteriores mostraram que existe grande diferença para populações de idosos institucionalizados entre a auto-avaliação e avaliação aferida.…”